IndividualActive
Braden Reeves, PTA
NPI 1790321602 · Physical Therapy Assistant · Herrin, IL
Provider details
- NPI number
- 1790321602
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
510 Lincoln Dr
Herrin, IL 62948-6334
Phone: (618) 997-6800
Approximate (ZIP-level) locationGet directions
Mailing address
510 Lincoln Dr
Herrin, IL 62948-6334
Registry dates
- Enumerated
- 2019-11-26
- Last updated
- 2019-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.